340B Drug Pricing Program Database

Pharmacy Name

WALMART PHARMACY 10-5169

Pharmacy Address

2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756

Pharmacy Comments

Approval Date

4/9/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Caryn Davis, Director of Finance
(608) 299-3302

Contract Pharmacy Representative

Community Health Systems, Inc.
Angelique Ayers, Specialized Services Coordinator
(608) 299-3303

Signed By Date

4/9/2024